Dadun Community:http://hdl.handle.net/10171/178
Tue, 03 Mar 2015 20:37:58 GMT2015-03-03T20:37:58ZHernia de Morgagnihttp://hdl.handle.net/10171/22906
Title: Hernia de MorgagniFri, 01 Jan 2010 00:00:00 GMThttp://hdl.handle.net/10171/229062010-01-01T00:00:00ZEsofagectomía transhiatal por vía abierta y vía laparoscópica para el cáncer de esófago: análisis de los márgenes de resección y ganglios linfáticoshttp://hdl.handle.net/10171/22905
Title: Esofagectomía transhiatal por vía abierta y vía laparoscópica para el cáncer de esófago: análisis de los márgenes de resección y ganglios linfáticos
Abstract: Surgical treatment of cancer of the oesophagus is associated with a
high morbidity and mortality. Minimally invasive surgery has been proposed as an
alternative to try to reduce these complications; however, at this time there are
not many studies that evaluate the oncological validity of this method. The
objective of this work is to give a preliminary audit of the results of our
experience in both surgical techniques, with special emphasis on the
oncopathological aspects (resection margins and lymph nodes). MATERIAL AND
METHOD: Between April 2003 and February 2007, 40 patients diagnosed with distal
oesophageal cancer were surgically intervened at Charing Cross Hospital, London,
24 open and 16 by laparoscopy in accordance with the surgeon responsible. Of
these, 50% received neoadjuvant chemotherapy. Both groups were homogeneous for
age, sex, ASA, tumour stage and tumour location. In all cases, the pathological
tumour stage (TNM), the tumour distal margin, tumour proximal margin, tumour
circumference and number of resected lymph nodes, were collected in a data base.
RESULTS: The number of resected lymph nodes was similar in both groups; (19 for
open and 18 for laparoscopy). The mean distal tumour margin for the group treated
by open surgery was 4.9 cm compared to 4.3 in the group treated by laparoscopy (p
= 0.578). The mean proximal tumour margin for the group treated by open surgery
was 8.4 cm compared to 4.6 cm in the laparoscopy group (p = 0.004) and tumour
circumference margin was positive in 11 patients (45%) belonging to the open
group compared to 5 patients (33%) in the laparoscopy group (p = 0.519).
CONCLUSIONS: In our experience, laparoscopic surgery for cancer of the oesophagus
appears to show similar initial results to those of open surgery as regards the
number of resected lymph nodes and resection margins.Tue, 01 Jan 2008 00:00:00 GMThttp://hdl.handle.net/10171/229052008-01-01T00:00:00ZTratamiento del quilotórax postoperatorio por toracoscopia tras la administración oral de una dieta rica en grasashttp://hdl.handle.net/10171/22879
Title: Tratamiento del quilotórax postoperatorio por toracoscopia tras la administración oral de una dieta rica en grasasTue, 01 Jan 2008 00:00:00 GMThttp://hdl.handle.net/10171/228792008-01-01T00:00:00ZCirugía bariátrica laparoscópica: bypass gástrico proximalhttp://hdl.handle.net/10171/22877
Title: Cirugía bariátrica laparoscópica: bypass gástrico proximal
Abstract: The spectacular increase in the prevalence of
obesity in our society and the significant complications
and comorbidities that it gives rise to have stimulated
the interest of scientists and public in this pathology.
Surgical treatment is at present the only efficient and
lasting treatment for morbid obesity and in many cases
it appreciably improves, and even definitively cures,
associated complications such as the case of diabetes
or hypertension. Amongst the different techniques of
bariatric surgery, the gastric bypass (GBP) seems to be
definitively establishing itself, since it offers an
excellent balance between loss of weight (>70% of the
excess), surgical risk and subsequent quality of life.
The possibility of carrying out this technique
employing a laparoscopic approach has improved its
acceptance by doctors and patients while it has made
it possible to reduce morbidity and mortality, length of
hospital stay and costs. Proximal GBP is carried on
those patients with an BMI <60 Kg/m2; for BMI >60
Kg/m2 the GBP employed is denominated distal.
Between October 2003 and November 2005, our centre
performed 55 laparoscopic proximal Roux-en-Y gastric
bypasses via laparoscopy. These involved 42 women
and 13 males with an average age of 44 years. The
average BMI was 43.5 (35-55.8). The average basal
weight was 116.15 Kg. There was no peroperative
mortality, nor reinterventions. The BMI after 12
months was 28.4. The average basal weight was 74.2
Kg. Laparoscopic Roux-en-Y proximal gastric bypass is
a safe and efficient technique for the treatment of
morbid obesity.Sat, 01 Jan 2005 00:00:00 GMThttp://hdl.handle.net/10171/228772005-01-01T00:00:00Z